scholarly journals An overview of select cannabis use and supply indicators pre- and post-legalization in Canada

Author(s):  
Benedikt Fischer ◽  
Angelica Lee ◽  
Tessa Robinson ◽  
Wayne Hall

Abstract Background Canada implemented the legalization and regulation of non-medical cannabis use, production and sale in 2018 aiming to improve public health and safety. While outcomes from legalization reforms in other jurisdictions mostly rely on US-based data have been assessed to be mixed, Canadian data are only emerging. We compiled select population-level data on key indicators to gauge initial developments from pre- to post-legalization of cannabis in Canada. Methods We examined indicators data focusing on the following topics: prevalence of cannabis use, frequency of use, methods/products of consumption, driving after cannabis use, and cannabis sourcing. Indicator data were obtained mostly from national and some provincial population surveys. Prevalence or percentages for the indicators pre- and post-legalization (e.g., 2017- 2020), including confidence intervals were reported, with changes noted, as available in and indicated by the data sources. Results Data suggested selected increases in cannabis use prevalence, mostly among mid- and older- but possibly also younger (e.g., under legal use age) users. Frequency of use and driving after cannabis use among active users do not appear to have changed. Methods of cannabis use show diversifying trends, with decreases in smoking and increases in alternatives use modes (e.g., edibles, vaping). There is a clearly increasing trend towards accessing cannabis from legal sources among adults, while under-legal-use-age youth do not appear to experience heightened barriers to obtaining cannabis in legalization contexts. Conclusions Preliminary indicators on cannabis legalization in Canada show a mixed picture, some similar to US-based developments. While some use increases are observed, these do not necessarily represent indications of increases in cannabis-related harm, also since key (e.g., hospitalization or injury) data are lacking to date. There is a gradual embracing of legal supply sources of cannabis among users, which can be expected to serve public health and safety objectives. At the same time, cannabis use and access among under-age users as a principally vulnerable group do not appear to be hindered or reduced by legalization.

2021 ◽  
pp. 000276422110031
Author(s):  
Jennifer Sherman ◽  
Jennifer Schwartz

In this article, we provide an early glimpse into how the issues of public health and safety played out in the rural United States during the coronavirus pandemic, focusing on Washington State. We utilize a combination of news articles and press releases, sheriff’s department Facebook posts, publicly available jail data, courtroom observations, in-depth interviews with those who have been held in rural jails, and interviews with rural law enforcement staff to explore this theme. As elected officials, rural sheriffs are beholden to populations that include many who are suspicious of science, liberal agendas, and anything that might threaten what they see as individual freedom. At the same time, they expect local law enforcement to employ punitive measures to control perceived criminal activity in their communities. These communities are often tightly knit, cohesive, and isolated, with high levels of social support both for community members and local leaders, including sheriffs and law enforcement. This complex social context often puts rural sheriffs and law enforcement officers in difficult positions. Given the multiple cross-pressures that rural justice systems faced in the wake of the COVID-19 pandemic, we explore the circumstances in which they attempted to protect and advocate for the health and safety of both their incarcerated and their nonincarcerated populations. We find that certain characteristics of rural communities both help and hinder local law enforcement in efforts to combat the virus, but these characteristics typically favor informal norms of social control to govern community health. Thus, rural sheriff’s departments repeatedly chose strategies that limited their abilities to protect populations from the disease, in favor of appearing tough on crime and supportive of personal liberty.


Author(s):  
Matthew Browne ◽  
Vijay Rawat ◽  
Catherine Tulloch ◽  
Cailem Murray-Boyle ◽  
Matthew Rockloff

Jurisdictions around the world have a self-declared mandate to reduce gambling-related harm. However, historically, this concept has suffered from poor conceptualisation and operationalisation. However, recent years have seen swift advances in measuring gambling harm, based on the principle of it being a quantifiable decrement to the health and wellbeing of the gambler and those connected to them. This review takes stock of the background and recent developments in harm assessment and summarises recent research that has validated and applied the Short Gambling Harms Screen and related instruments. We recommend that future work builds upon the considerable psychometric evidence accumulated for the feasibility of direct elicitation of harmful consequences. We also advocate for grounding harms measures with respect to scalar changes to public health utility metrics. Such an approach will avoid misleading pseudo-clinical categorisations, provide accurate population-level summaries of where the burden of harm is carried, and serve to integrate gambling research with the broader field of public health.


First Monday ◽  
2021 ◽  
Author(s):  
Rishi Sabarigirisan ◽  
Aditi Biswas ◽  
Ridhi Rohatgi ◽  
Shyam KC ◽  
Shekhar Shukla

The COVID-19 pandemic has induced a cloud of uncertainty over the mega sports event, the 2021 Tokyo Olympics. Cancelling or re-scheduling the event could have serious repercussions on the economic, social and environmental well-being for the involved stakeholders. Thus, it becomes critical to conduct events of this magnitude by adopting appropriate public health measures. In this research, we primarily focus on two main premises relative to public health and safety, contact tracing and crowd management. We explore and evaluate the usability of blockchain based decentralized apps in crowd management and contact tracing for the Tokyo Olympics using value-focused thinking (VFT). A VFT framework aids in narrowing fundamental and strategic objectives that need to be addressed for smooth contact tracing and crowd management by understanding stakeholder viewpoints. We established an equivalence of the objectives identified through VFT with blockchain technology properties. Further, we also present a conceptual ideation of contact tracing and crowd management through blockchain based decentralized apps for the Tokyo Olympics. This work could potentially assist decision-makers, researchers and stakeholders involved in organizing the Tokyo Olympics in understanding and analysing the utility of blockchain based decentralized apps for crowd management and contact tracing.


2000 ◽  
Vol 15 (3) ◽  
pp. 25-27 ◽  
Author(s):  
Antony Nocera ◽  
Anne M. Newton

AbstractBogus doctors pose a threat to public health and safety, and they present a security threat at disaster and multi-casualty event sites. A “bogus doctor” is an individual who misrepresents him/herself as a registered medical practitioner by their demeanour, actions, dress, or surroundings, while not entitled to be on a register of medical practitioners. There are very few reports in the medical literature, but practitioners have encountered them at the site of a disaster or multi-casualty event. This paper examines the five cases identified in the literature. Secure systems that confirm a health professional's identity and qualifications are required to avoid unnecessary delays and to protect the victims and health professionals providing the care.


Author(s):  
Stephen A. Batzer ◽  
John S. Morse ◽  
Dong Y. Don Lee

The enduring issues regarding codes and standards for consumer products and corporate behavior are discussed in this paper. It has been frequently asserted that the adherence of a product to a recognized government or private standard ensures that the product has a minimal level of safety, and that said product is therefore presumably non-defective. The agencies which promulgate these codes and standards are ostensibly impartial and informed, and have the public’s best interests in mind. This conviction is undoubtedly true in some instances, but is also unquestionably false in others. The issues regarding codes and standards and their impact upon products and the trusting public include, but are not limited to, asymmetric information, cost concerns, ethics, foreseeable misuses, non-alignment of interests, and technological advancements after the standards were adopted. In short, the adherence to the letter, rather than the spirit, of individual codes and standards is a manifestation of the Principal-Agent conflict, in which the agent, acting on behalf of the principal, has a different set of incentives than does the principal. This conflict and the underlying issues listed above are discussed. Case studies of numerous products with possible, known, and unforeseen adverse impacts upon public health and safety will be used as illustrations of products that were within the letter of the code or standard, but manifestly defective.


2019 ◽  
pp. 79-100
Author(s):  
John Macdonald ◽  
Charles Branas ◽  
Robert Stokes

This chapter looks at interventions for land and open spaces and their impact on public health and safety. Abandoned, vacant, and neglected land is of great and growing concern in many cities. The chapter considers recent efforts to address this sort of land-based blight and how planners can partner with scientists to implement and evaluate land-remediation and zoning strategies to best improve public health and safety. In many ways, these changes represent the innate human desire for nature and green spaces. Without action from planners and landscape architects, such natural spaces would not exist in many of the cities. The chapter then showcases several studies that provide evidence that the mere presence of green spaces have healing and calming effects, an effect that occurs even if residents do not actively use these spaces. Indeed, there have been myriad efforts over the past decade or so by cities to revisit and reinvigorate their green and open-space planning efforts. Much of this effort has been to insert managed green spaces into smaller parcels and equitably distribute them across neighborhoods that lack access to larger green spaces. This pocket-park movement has economic drivers but, in some cities, also seeks to leverage the likely health benefits to local residents.


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